| NPI | 1821809765 |
|---|---|
| Former Legal Business Name | ISHA ESTHETICS LLC |
| Entity Type | Organization |
| Authorized Contact | TENISHA HICKS Owner 385-275-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |